| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.95 | $56.95 | $56.95 |
BCBS
| Facility | 26 | $46.93 | $46.93 | $46.93 |
Cigna
| Facility | 26 | $124.74 | $194.69 | $468.36 |
Health Partners
| Facility | 26 | $108.10 | $171.66 | $368.79 |
Medica
| Facility | 26 | $251.32 | $251.32 | $251.32 |